1. Advanced Practice Succession Planning Development Pathway
Maggie Grundy
Janet Corcoran

2. Background
NMC (2005)
Modernising Nursing Careers (2006) Priority actions:
Develop a competent and flexible nursing workforce
Update career pathways and career choices
Prepare nurses to lead in a changed healthcare system
Modernise the image of nursing and nursing careers
Advanced practice development inconsistent – little national guidance about what is required at this level. Scotland lead for Advanced/Specialist Practice NMC - Need for systematic means of developing advanced practitioner attributes play central role in building workforce capacity to aid direction of travel set out in MNC 2006

4. Advanced Practice A level of Practice, rather than a role or title
Applicable across practice contexts
Applicable across professional contexts
‘Specialist’ practice is not above or below ‘Advanced’ practice – it is on a different continuum.

5. Expert Practice
Specialist
Practice
Generalist
Practice
Novice Practice

6. Diagram to Illustrate Advanced Practice
Advanced Generalist Practitioner
Specialist Practitioner
NHS Lanarkshire

7. Succession Planning
Building talent through flexible options to develop
individuals (Cunningham 2007).
Not “Job Titles” but key skills and behaviours
required to enable organisations to achieve its goals
and strategies (Guinn 2000).
A national approach towards key skills and
behaviours through education provision is necessary
at advanced practitioner level given the extensive and rapid change highlighted in BHBC (SGHD 2007).
Succession planning pathway therefore devised with intention of providing a generic, flexible and sustainable framework, supporting educational solutions for advanced practice. Anticipated that it will enhance capability and capacity within nursing profession using consistent approach nationally within Scotland.

8. High levels of Decision Making& Problem Solving Values Based Care
1. Central Supporting Mechanisms (Infrastructure)
Includes:
Organisational support
Development Needs Analysis Tool
On-line Action Learning
Sets
Critical Companionship
4. Underpinning Principles
(Development)
Autonomous Practice
Critical Thinking
High levels of Decision Making& Problem Solving
Values Based Care
Improving Practice
Advanced Practice
Pilot Succession
Planning Development Pathway
Supportive mechanisms vital to success of succession planning.
Links to PDP and KSF and support from manager
Action Learning – Methodology that enables linking theory with practice as grounded in facilitating active learning within individuals areas of practice.
Incorporates methods to develop many of the underpinning principles of advanced practice.
Peer learning through experienced facilitation
Critical companion - Experienced facilitator accompanies another on an experiential learning journey using methods of
“High Challenge” and “High Support” in a trusting relationship
Enable others to practise in ways that are person centred and evidence based
Support high level critical reflection and metacognitive skills to enable individuals to interrogate their own practice and continually develop their learning
2. Four Overarching Themes
(Areas of Learning)
Advanced Clinical
Practice
Leadership
Facilitating Learning
Research
3. Examples of
Educational Solutions
(Methods of Delivery)
Includes:
Workbased Learning and/or Academic Education

9. Pilot so far…. Regional Events – 2007 National Steering Group
Consultation with key stakeholders, and links to other projects
Recruitment - Completion of Development Needs
Analysis Tool and Interview
Two cohorts recruited March ’08 & Sept ’08
Critical Companions prepared
Action Learning sets ongoing
Evaluation commenced

12. Clinical Career Fellowships
More Senior Staff – level 9
Consultant Practitioner – level 8
Consultant NMAHPs
Clinical
Academic
Careers
Advanced
Practice
Toolkit
Advanced Practitioner – level 7
SCN/CQI
Project
Senior Practitioner – level 6
Early
Clinical Career Fellowships
‘Effective Practitioner’
Registered Practitioner – level 5
Flying Start NHS
Associate Practitioner – level 4
Senior Support Worker – level 3
HCSW Toolkit Project
Support Worker - level 2
Support Worker – level 1
Scottish initiatives to support the Nursing Career Framework